Healthcare Provider Details

I. General information

NPI: 1548435035
Provider Name (Legal Business Name): SALMON HOSPICE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2008
Last Update Date: 12/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 BEAUMONT DRIVE
NORTHBRIDGE MA
01534
US

IV. Provider business mailing address

42 BEAUMONT DRIVE
NORTHBRIDGE MA
01534
US

V. Phone/Fax

Practice location:
  • Phone: 508-266-6402
  • Fax:
Mailing address:
  • Phone: 508-266-6402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State

VIII. Authorized Official

Name: MR. GARY SACON
Title or Position: CFO
Credential:
Phone: 508-898-3490